Frederick L Glavin, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

ME75437 Issued in FL

Practice address

4800 SW 35 Drive
Gainesville, FL 32608

Phone

(800) 226-8968

Fax

(407) 856-2312

NPI assigned

Jan 11, 2006

Last updated

Jul 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ameripath Florida LLC

  dba AmeriPath South Florida

  • Clinical Medical Laboratory
  • Pompano Beach, FL
  • NPI 1952381477
  NPD (past)
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1962254987
  NPD (past)
• PBD&P Inc

  dba Palm Beach Dermatology Inc

  • Dermatopathology Physician
  • West Palm Beach, FL
  • NPI 1689640328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1558340323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100275",
            "address_2": "1600 SW ARCHER ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-273-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SW 35 DRIVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "800-226-8968",
            "fax_number": "407-856-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVIN",
        "first_name": "FREDERICK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME75437",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME75437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257135800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kechyan Swun Glant, MA CCC/SLP
• Kristina Glaser, FNP-BC
• Alexander Glass, MD
• Debra Lynn Glass
• Julia Kyla Glavin-Duncan
• Kathryn Batten Glazer, ARNP
• Briana Claire Gleason, M.D.
• Mitchell Gleason, PMHNP
• Timothy Joseph Gleason, MSW
• Rosemarie Reeves Gleichowski, NBH-WC

• Dermatopathology (Pathology) Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.